Combivent Respimat 1-year Safety Study in Patients With Chronic Obstructive Pulmonary Disease

NCT ID: NCT01019694

Last Updated: 2014-10-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

470 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-30

Brief Summary

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The primary objective of this study is to evaluate long-term safety and patient acceptability of COMBIVENT RESPIMAT Inhalation Spray as compared to the COMBIVENT Inhalation Aerosol Chlorofluorocarbon-Metered Dose Inhaler (CFC-MDI) and the free combination of ATROVENT Hydrofluoroalkane (HFA) and albuterol Hydrofluoroalkane (HFA) inhalation aerosols.

Detailed Description

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Conditions

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Pulmonary Disease, Chronic Obstructive

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Combivent Respimat 20/100 microgram(mcg)

patient to take 1 inhalation 4 times a day

Group Type EXPERIMENTAL

Combivent Respimat 20/100 mcg

Intervention Type DRUG

Open label randomized parallel

Combivent CFC-MDI 36/206 microgram-mcg

patient to take 2 inhalations 4 times a day

Group Type ACTIVE_COMPARATOR

Combivent CFC-MDI

Intervention Type DRUG

36/206 mcg Four times a day (QID)

Atrovent HFA 42 mcg + Albuterol HFA

patient to take 2 inhalations of each 4 times a day

Group Type ACTIVE_COMPARATOR

Atrovent HFA 42 mcg + Albuterol HFA 200 mcg

Intervention Type DRUG

Open label randomized parallel

Interventions

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Combivent CFC-MDI

36/206 mcg Four times a day (QID)

Intervention Type DRUG

Combivent Respimat 20/100 mcg

Open label randomized parallel

Intervention Type DRUG

Atrovent HFA 42 mcg + Albuterol HFA 200 mcg

Open label randomized parallel

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. All patients must sign an informed consent consistent with International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines prior to participation in the trial.
2. Male or female patients 40 years of age or older.
3. Patients must be current or ex-smokers with a smoking history of 10 pack-years. (Patients who have never smoked cigarettes must be excluded) Pack Years = Number of cigarettes/day x years of smoking 20 cigarettes/pack
4. All patients must have a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) (P95-4381), and must meet the following spirometric criteria at Visit 1:Relatively stable, moderate to severe airway obstruction with a post-bronchodilator Forced Expiratory Volume in one second (FEV1) \< 80% of predicted normal and FEV1/Forced Vital Capacity (FVC) \< 70%. Spirometry should be done at baseline and approximately 1/2 hour following 4 inhalations of albuterol. Predicted normal values will be calculated according to European Coal and Steel Community (ECSC), European Community for Coal and Steel (ECCS), (R94-1408). For Height measured in inches Males: FEV1 predicted (L) = 4.30 x \[height (inches) / 39.37\]-0.029 x age (yrs) - 2.49 Females: FEV1 predicted (L) = 3.95 x \[height (inches) / 39.37\]-0.025 x age (yrs) - 2.60 For Height measured in meters Males: FEV1 predicted (L) = 4.30 x \[height (meters)\] - 0.029 x age (years) -2.49 Females: FEV1 predicted (L) = 3.95 x \[height (meters)\] - 0.025 x age (years) - 2.60
5. Patients must be able to perform all study related procedures and maintain study records during the study period as required in the protocol.
6. Patients must be able to inhale medication in a competent manner from the RESPIMAT inhaler and from a metered dose inhaler (MDI).

Exclusion Criteria

1. Patients with significant diseases other than COPD will be excluded. A significant disease is defined as a disease which in the opinion of the investigator may either put the patient at risk because of participation in the study or a disease which may influence the results of the study or the patient's ability to participate in the study.
2. Patients with a recent history (i.e., one year or less) of myocardial infarction.
3. Patients who have been hospitalized or being treated for heart failure within the past year.
4. Patients with clinically unstable or life-threatening cardiac arrhythmia requiring intervention or change in drug therapy within the past year.
5. Patients with a malignancy for which patient has undergone resection, radiation therapy or chemotherapy within last five years (patients with fully cured squamous cell or treated basal cell carcinoma are allowed).
6. Patients with a history of life-threatening pulmonary obstruction, or a history of cystic fibrosis or clinically evident bronchiectasis.
7. Patients who have undergone thoracotomy with pulmonary resection. Patients with a history of a thoracotomy for other reasons should be evaluated as per exclusion criterion No. 1.
8. Patients with a current diagnosis of asthma.
9. Patients with a history of significant alcohol or drug abuse.
10. Patients with known active tuberculosis.
11. Patients using beta blocker medications are excluded. Cardioselective beta blockers are allowed with caution. Beta blocker eye medications for treatment of non-narrow angle glaucoma are allowed.
12. Patients who regularly use daytime oxygen therapy for more than 1 hour per day Continuous Positive Airway Pressure (CPAP for sleep apnea is allowed).
13. Patients using oral corticosteroid medication at a dose in excess of the equivalent of 10 mg of prednisone per day or 20 mg every other day, except as required for treatment of exacerbation during the study.
14. Pregnant or nursing women.
15. Women of childbearing potential not using a medically approved means of contraception (i.e., oral or injectable contraceptives, intrauterine devices or diaphragm with spermicide, or transdermal hormonal patches). Abstinence will not be accepted as a medically approved means of contraception. Female patients will be considered to be of childbearing potential unless surgically sterilized by hysterectomy or bilateral tubal ligation, or post-menopausal for at least two years.
16. Patients with known hypersensitivity to anticholinergic drugs, any other component of the ipratropium bromide/albuterol RESPIMAT solution including Benzalkonium chloride (BAC) and Ethylenediaminetetraacetic acid (EDTA) or the ipratropium bromide/albuterol Chlorofluorocarbons (CFC) MDI or Hydrofluoroalkane (HFA) components.
17. Previous participation in this study. (The patient cannot re-enroll into this study.)
18. Patients who are currently participating in another interventional study.
19. Patients who have taken an investigational drug within 1 month or 6 half lives (whichever is greater) prior to screening.
20. Patients currently in any pulmonary rehabilitation program or scheduled to participate in any such program during the study period.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

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1012.62.153 Boehringer Ingelheim Investigational Site

Jasper, Alabama, United States

Site Status

1012.62.145 Boehringer Ingelheim Investigational Site

Mobile, Alabama, United States

Site Status

1012.62.156 Boehringer Ingelheim Investigational Site

Mesa, Arizona, United States

Site Status

1012.62.135 Boehringer Ingelheim Investigational Site

Berkeley, California, United States

Site Status

1012.62.141 Boehringer Ingelheim Investigational Site

Riverside, California, United States

Site Status

1012.62.155 Boehringer Ingelheim Investigational Site

Boulder, Colorado, United States

Site Status

1012.62.126 Boehringer Ingelheim Investigational Site

Fort Collins, Colorado, United States

Site Status

1012.62.131 Boehringer Ingelheim Investigational Site

Wheat Ridge, Colorado, United States

Site Status

1012.62.144 Boehringer Ingelheim Investigational Site

Stamford, Connecticut, United States

Site Status

1012.62.123 Boehringer Ingelheim Investigational Site

Waterbury, Connecticut, United States

Site Status

1012.62.114 Boehringer Ingelheim Investigational Site

Clearwater, Florida, United States

Site Status

1012.62.124 Boehringer Ingelheim Investigational Site

DeLand, Florida, United States

Site Status

1012.62.139 Boehringer Ingelheim Investigational Site

Pensacola, Florida, United States

Site Status

1012.62.134 Boehringer Ingelheim Investigational Site

Tampa, Florida, United States

Site Status

1012.62.115 Boehringer Ingelheim Investigational Site

Winter Park, Florida, United States

Site Status

1012.62.146 Boehringer Ingelheim Investigational Site

Decatur, Georgia, United States

Site Status

1012.62.113 Boehringer Ingelheim Investigational Site

Coeur d'Alene, Idaho, United States

Site Status

1012.62.157 Boehringer Ingelheim Investigational Site

Dubuque, Iowa, United States

Site Status

1012.62.159 Boehringer Ingelheim Investigational Site

Louisville, Kentucky, United States

Site Status

1012.62.116 Boehringer Ingelheim Investigational Site

Lafayette, Louisiana, United States

Site Status

1012.62.148 Boehringer Ingelheim Investigational Site

New Orleans, Louisiana, United States

Site Status

1012.62.137 Boehringer Ingelheim Investigational Site

North Dartmouth, Massachusetts, United States

Site Status

1012.62.132 Boehringer Ingelheim Investigational Site

Ann Arbor, Michigan, United States

Site Status

1012.62.117 Boehringer Ingelheim Investigational Site

Livonia, Michigan, United States

Site Status

1012.62.158 Boehringer Ingelheim Investigational Site

Minneapolis, Minnesota, United States

Site Status

1012.62.127 Boehringer Ingelheim Investigational Site

St Louis, Missouri, United States

Site Status

1012.62.129 Boehringer Ingelheim Investigational Site

St Louis, Missouri, United States

Site Status

1012.62.147 Boehringer Ingelheim Investigational Site

Cherry Hill, New Jersey, United States

Site Status

1012.62.149 Boehringer Ingelheim Investigational Site

Summit, New Jersey, United States

Site Status

1012.62.112 Boehringer Ingelheim Investigational Site

Albuquerque, New Mexico, United States

Site Status

1012.62.111 Boehringer Ingelheim Investigational Site

Rochester, New York, United States

Site Status

1012.62.107 Boehringer Ingelheim Investigational Site

Cincinnati, Ohio, United States

Site Status

1012.62.120 Boehringer Ingelheim Investigational Site

Cincinnati, Ohio, United States

Site Status

1012.62.150 Boehringer Ingelheim Investigational Site

Toledo, Ohio, United States

Site Status

1012.62.103 Boehringer Ingelheim Investigational Site

Philadelphia, Pennsylvania, United States

Site Status

1012.62.104 Boehringer Ingelheim Investigational Site

Pittsburgh, Pennsylvania, United States

Site Status

1012.62.154 Boehringer Ingelheim Investigational Site

East Providence, Rhode Island, United States

Site Status

1012.62.128 Boehringer Ingelheim Investigational Site

Charleston, South Carolina, United States

Site Status

1012.62.130 Boehringer Ingelheim Investigational Site

Easley, South Carolina, United States

Site Status

1012.62.151 Boehringer Ingelheim Investigational Site

Greenville, South Carolina, United States

Site Status

1012.62.161 Boehringer Ingelheim Investigational Site

Greenville, South Carolina, United States

Site Status

1012.62.109 Boehringer Ingelheim Investigational Site

Greer, South Carolina, United States

Site Status

1012.62.118 Boehringer Ingelheim Investigational Site

Spartanburg, South Carolina, United States

Site Status

1012.62.125 Boehringer Ingelheim Investigational Site

Austin, Texas, United States

Site Status

1012.62.140 Boehringer Ingelheim Investigational Site

Fort Worth, Texas, United States

Site Status

1012.62.143 Boehringer Ingelheim Investigational Site

Houston, Texas, United States

Site Status

1012.62.152 Boehringer Ingelheim Investigational Site

Killeen, Texas, United States

Site Status

1012.62.102 Boehringer Ingelheim Investigational Site

San Antonio, Texas, United States

Site Status

1012.62.122 Boehringer Ingelheim Investigational Site

Danville, Virginia, United States

Site Status

1012.62.119 Boehringer Ingelheim Investigational Site

Richmond, Virginia, United States

Site Status

1012.62.142 Boehringer Ingelheim Investigational Site

Richmond, Virginia, United States

Site Status

1012.62.108 Boehringer Ingelheim Investigational Site

Spokane, Washington, United States

Site Status

1012.62.133 Boehringer Ingelheim Investigational Site

Spokane, Washington, United States

Site Status

1012.62.105 Boehringer Ingelheim Investigational Site

Tacoma, Washington, United States

Site Status

1012.62.101 Boehringer Ingelheim Investigational Site

Morgantown, West Virginia, United States

Site Status

Countries

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United States

References

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Ferguson GT, Ghafouri M, Dai L, Dunn LJ. COPD patient satisfaction with ipratropium bromide/albuterol delivered via Respimat: a randomized, controlled study. Int J Chron Obstruct Pulmon Dis. 2013;8:139-50. doi: 10.2147/COPD.S38577. Epub 2013 Mar 19.

Reference Type DERIVED
PMID: 23658479 (View on PubMed)

Other Identifiers

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1012.62

Identifier Type: -

Identifier Source: org_study_id

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